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Claim Configuration Analyst Jobs in Reston, VA (NOW HIRING)

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Claim Configuration Analyst information

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$15

$42

$71

How much do claim configuration analyst jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for claim configuration analyst in Reston, VA is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $55.00 per hour, depending on experience, location, and employer.

What is a claim configuration analyst?

Claim Configuration Analysts are professionals who specialize in setting up and maintaining the rules, processes, and systems that handle insurance claims within an organization. They ensure that claim processing systems are configured accurately to follow policy guidelines, regulatory requirements, and company procedures. Their role often involves analyzing data, troubleshooting issues, and collaborating with IT, claims, and business teams to optimize claim workflows. By ensuring correct system configurations, they help reduce errors, improve operational efficiency, and support timely claim resolutions.

What are the key skills and qualifications needed to thrive as a claim configuration analyst, and why are they important?

To thrive as a Claim Configuration Analyst, you need a strong understanding of healthcare claims processing, benefits administration, and analytical problem-solving, often supported by a degree in business, information systems, or a related field. Familiarity with claims adjudication systems (such as Facets or QNXT), SQL, and potentially industry certifications like Certified Claims Professional (CCP) are commonly required. Attention to detail, effective communication, and the ability to work collaboratively with cross-functional teams are crucial soft skills. These competencies ensure accurate claim system configuration, regulatory compliance, and efficient operations within health insurance organizations.

What are some common challenges faced by claim configuration analysts, and how can they be addressed?

Claim Configuration Analysts often encounter challenges such as interpreting complex insurance policies, ensuring accurate system configuration to minimize claim errors, and keeping up with frequent regulatory changes. Addressing these challenges requires strong analytical skills, attention to detail, and effective collaboration with cross-functional teams like IT, compliance, and claims processing. Regular training and open communication channels help analysts stay updated and maintain high-quality configurations, ultimately reducing errors and improving efficiency.

What is the difference between Claim Configuration Analyst vs Claims Processor?

AspectClaim Configuration AnalystClaims Processor
Primary ResponsibilitiesDesigns and manages claim system setups, analyzes configuration issues, and optimizes claim workflows.Processes individual claims, verifies information, and ensures accurate claim adjudication.
Required Skills & CertificationsKnowledge of insurance systems, data analysis, and possibly certifications like CPCU or similar.Attention to detail, familiarity with claims software, and basic insurance knowledge.
Work EnvironmentTypically office-based, working with IT teams and claims systems.Office or remote, handling claims directly or via claims processing platforms.

The Claim Configuration Analyst focuses on configuring and optimizing claim systems and workflows, while the Claims Processor handles the day-to-day processing of individual claims. Both roles require insurance knowledge, but the analyst role emphasizes system setup and analysis, whereas the processor role emphasizes claim review and verification.

Is claims processing a stressful job?

Claims processing as a Claim Configuration Analyst can be stressful due to tight deadlines, high accuracy requirements, and the need to resolve complex issues efficiently. The role often involves detailed data analysis and communication with stakeholders, which can contribute to work-related stress. However, workload and stress levels vary depending on the organization and individual workload management skills.

What are popular job titles related to Claim Configuration Analyst jobs in Reston, VA?

For Claim Configuration Analyst jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Claim Configuration Analyst jobs in Reston, VA look for?

The top searched job categories for Claim Configuration Analyst jobs in Reston, VA are:

What cities near Reston, VA are hiring for Claim Configuration Analyst jobs?

Cities near Reston, VA with the most Claim Configuration Analyst job openings:

Claim Configuration Analyst jobs near you

Epic HB/PB Resolute Claims Analyst

InterScripts, Inc

Chantilly, VA • On-site

Full-time

Posted 20 days ago

Job description


bJob Title: Epic HB/PB Resolute Claims Analyst
Location: Chantilly, Virginia, United States
Experience: 2+ Years
Employment Type: Full-Time
Job Summary
We are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills. Active Epic certification is mandatory.
Key Responsibilities
  • Configure, maintain, and support Epic Resolute HB, PB, and Claims applications.
  • Analyze business requirements and translate them into Epic system solutions.
  • Support claim generation, claim edits, remittance processing, and denial management workflows.
  • Troubleshoot application issues and provide timely resolution.
  • Perform system build, configuration, testing, upgrades, and optimization activities.
  • Collaborate with Revenue Cycle, Patient Financial Services, and IT teams.
  • Create and maintain application documentation, workflows, and training materials.
  • Participate in integrated testing, go-live support, and post-implementation activities.
  • Ensure compliance with healthcare billing regulations and organizational standards.
  • Support enhancement requests and continuous process improvement initiatives.

Requirements
  • Minimum 2+ years of experience working with Epic Resolute applications.
  • Epic Resolute Hospital Billing (HB) Certification - Mandatory.
  • Epic Resolute Professional Billing (PB) Certification - Mandatory.
  • Epic Claims/Remittance experience preferred.
  • Experience supporting healthcare revenue cycle operations.
  • Strong understanding of billing, claims processing, payment posting, denial management, and reimbursement workflows.
  • Experience with system configuration, testing, validation, and production support.
  • Excellent communication and stakeholder management skills.
    • Preferred Skills
    • Knowledge of Charge Router, Work Queues (WQs), Claims, Remittance, Payment Posting, and Revenue Cycle workflows.
    • Experience with Epic upgrade testing and release management.
    • Understanding of healthcare billing regulations, payer requirements, and reimbursement processes.
    • Experience in hospital and professional billing environments.
    Education
    • A bachelor's degree in Healthcare, Information Technology, Computer Science, or a related field is preferred.
    Mandatory Certification
    • Epic Resolute Hospital Billing (HB) Certification.
    • Epic Resolute Professional Billing (PB) Certification.
    • Epic Claims/Remittance Certification is a strong plus.
    Preferred Experience
    • Healthcare IT implementation, optimization, or application support experience.
    • Experience working directly with Revenue Cycle and Patient Financial Services teams.

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